The home failed to provide enough food and fluids to keep residents healthy. Cited April 2022 — isolated incident, actual harm.
View the original federal record
F-Tag 692 — 42 CFR §483.25(g) — S/S: G
Nursing home report
SHIRKEY NURSING AND REHABILITATION CENTER
RICHMOND, MO · Medicare-certified · 197 beds
In good standing
Government-run
4 of 5 overall
4 out of 5 stars overall. Health inspection and staffing are both 3 out of 5 stars, quality measures are 5 out of 5 stars, nurse staffing is slightly below the federal benchmark (4.04 vs 4.1 hours per resident per day), and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.039 hrs/resident/day
Quality measures
Last inspection: May 8, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.039.
Staffing detail
- Registered nurses
- 0.29
- Licensed practical nurses
- 0.96
- Nurse aides
- 2.79
- Weekend nursing
- 3.69
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 78%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
10.4%7.5%Improving
Residents with a fall causing major injury
1.2%2.4%Worsening
Residents with pressure ulcers (bedsores)
6.6%0%Improving
Residents with a urinary tract infection
0%1.2%Worsening
Residents who lost too much weight
6.2%3.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.6%11.1%Improving
Residents whose ability to walk got worse
6.5%13.3%Worsening
Long-stay residents on antianxiety or sleep medication
21.2%23.1%Worsening
Short-stay residents newly given an antipsychotic
4.8%0%Improving
Residents with a long-term catheter
0%2.1%Worsening
Residents with new or worsening incontinence
15%19.2%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—95.5%—
Long-stay residents given the pneumonia vaccine
100%98.8%Worsening
Short-stay residents given the seasonal flu vaccine
—72.2%—
Short-stay residents given the pneumonia vaccine
80%82.7%Improving
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The nursing home failed to make sure its quality review group had the required members and met at least every three months. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 868 — 42 CFR §483.75 — S/S: F
The home failed to ensure residents were treated with dignity and could make their own choices and communicate freely. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 550 — 42 CFR §483.10(a) — S/S: E
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited May 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 582 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 23 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Government - County
- Occupancy
- 92.6 residents on an average day (47% of 197 beds)
- Medicare history
- Certified for 25 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.